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Standardizing admission and discharge processes to improve patient flow: A cross sectional study

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dc.contributor Universitat de Vic. Facultat d'Empresa i Comunicació
dc.contributor.author Ortiga Fontgivell, Berta
dc.contributor.author Salazar, Albert
dc.contributor.author Jovell Fernández, Albert
dc.contributor.author Escarrabill Sanglas, Joan
dc.contributor.author Marca Francés, Guillem
dc.contributor.author Corbella, Xavier
dc.date.accessioned 2013-10-21T09:19:11Z
dc.date.available 2013-10-21T09:19:11Z
dc.date.created 2012
dc.date.issued 2012
dc.identifier.citation Ortiga, B, Salazar, A, Jovell, A, Escarrabill, J, Marca, G Corbella. X. (2012). Standardizing admission and discharge processes to improve patient flow: A cross sectional study. BMC Health Services Research, 12(180), 1-6.
dc.identifier.issn 1472-6963
dc.identifier.uri http://hdl.handle.net/10854/2392
dc.description.abstract Background: The aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes. Methods: This study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain). This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00 am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann–Whitney test for non-normal continuous variables. Results: The median patients’ global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p<0.051). The percentage of patients admitted the same day as surgery increased from 64.87% in 2007 to 86.01% in 2009 (p<0.05). The number of cancelled interventions due to lack of beds was 216 patients in 2007 and 42 patients in 2009. The median number of planned discharges went from 43.05% in 2007 to 86.01% in 2009 (p<0.01). The median number of emergency patients waiting for an in-hospital bed at 8:00 am was 5 patients in 2007 and 3 patients in 2009 (p<0.01). Conclusions: In conclusion, standardization of admission and discharge processes are largely in our control. There is a significant opportunity to create important benefits for increasing bed capacity and hospital throughput. ca_ES
dc.format application/pdf
dc.format.extent 6 p. ca_ES
dc.language.iso eng ca_ES
dc.publisher BioMed Central ca_ES
dc.rights (c) BioMed Central Ltd, 2012
dc.rights Tots els drets reservats ca_ES
dc.subject.other Hospitals -- Direcció i administració ca_ES
dc.subject.other Pacients ca_ES
dc.title Standardizing admission and discharge processes to improve patient flow: A cross sectional study ca_ES
dc.type info:eu-repo/semantics/article
dc.rights.accesRights info:eu-repo/semantics/openAccess ca_ES
dc.type.version info:eu-repo/publishedVersion ca_ES
dc.indexacio Indexat a SCOPUS
dc.indexacio Indexat a WOS/JCR ca_ES

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